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Contact Information

COASTAL CAROLINA HEALTH CARE PA
670 CARDINAL PLACE
NEW BERN, NC28562
 Phone: 252-636-6222
 Fax: 252-636-5385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA HEALTH CARE PA

NPI Number 1568401156
LBN Legal business name COASTAL CAROLINA HEALTH CARE PA
Authorized official STEPHEN NUCKOLLS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2006
Last updated 02/01/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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